Healthcare Provider Details

I. General information

NPI: 1114838232
Provider Name (Legal Business Name): MEGAN ELIZABETH CLAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 RUBIN AVENUE
COAL CITY WV
25823
US

IV. Provider business mailing address

PO BOX 187
COAL CITY WV
25823-0187
US

V. Phone/Fax

Practice location:
  • Phone: 304-673-9907
  • Fax:
Mailing address:
  • Phone: 304-673-9907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: